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Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention
Cristina Gordo1, Jorge M Núñez-Córdoba2,3, Ricardo Mateo4
1Healthcare Quality Service, Clínica Universidad de Navarra, Pamplona, Spain.
Aims:
To identify and prioritize the root causes of adverse drug events (ADEs) in hospitals and to assess the ability of artificial intelligence (AI) capabilities to prevent ADEs.
Design:
A mixed method design was used.
Methods:
A cross-sectional study for hospitals in Spain was carried out between February and April 2019 to identify and prioritize the root causes of ADEs. A nominal group technique was also used to assess the ability of AI capabilities to prevent ADEs.
Results:
The main root cause of ADEs was a lack of adherence to safety protocols (64.8%), followed by identification errors (57.4%), and fragile and polymedicated patients (44.4%). An analysis of the AI capabilities to prevent the root causes of ADEs showed that identification and reading are two potentially useful capabilities.
Conclusion:
Identification error is one of the main root causes of drug adverse events and AI capabilities could potentially prevent drug adverse events.
Impact:
This study highlights the role of AI capabilities in safely identifying both patients and drugs, which is a crucial part of the medication administration process, and how this can prevent ADEs in hospitals.
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